| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $665.00 | $665.00 | $1,710.00 | |
Aetna
| Professional | $665.00 | $665.00 | $893.00 | |
BCBS
| Professional | $1,579.33 | $1,914.25 | $2,148.19 | |
Cigna
| Professional | $1,091.56 | $1,102.47 | $1,386.28 | |
Medica
| Facility | $665.00 | $1,130.50 | $4,512.50 | |
Medica
| Professional | $399.00 | $950.00 | $1,615.00 | |
United
| Professional | $399.00 | $950.00 | $1,330.00 |